MEDICARE: EL PASO CENTER FOR GASTROINTESTINAL ENDOSCOPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0800X	Endoscopy Clinic/Center
2	261QA1903X	Ambulatory Surgical Clinic/Center	008549	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	008549	OTHER	TX	STATE CERTIFICATION

General Provider Information

NPI Number	:	1326114869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL PASO CENTER FOR GASTROINTESTINAL ENDOSCOPY, LLC

Provider Business Mailing Address
First Line	:	1620 N MESA
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-3595
Country	:	US
Telephone Number	:	915-545-5300
Fax Number	:	915-532-1413

Provider Business Practice Location Address
First Line	:	1620 N MESA
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-3595
Country	:	US
Telephone Number	:	915-545-5300
Fax Number	:	915-532-1413

Authorized Official
Title or Position	:	OFFICER/AUTHORIZED OFFICIAL
Name	:	PETER BLACH
Credential	:
Telephone Number	:	713-343-0832

Provider Enumeration Date	:	11/27/2006
Last Update Date	:	10/07/2024

Similar Medicare Providers

1366511818 — ORESTES MOLDES-RODRIGUEZ, M.D., P.A.
Practice Location Address:

1600 N OREGON ST STE 1A
EL PASO, TX
79902-3595

Practice Phone: 915-532-2445
Practice Fax: 915-532-2673

1346208642 — BRAWLEY ENDOSCOPY & SURGERY MED CTR
Practice Location Address:

1550 N IMPERIAL AVE , SUITE 3
EL CENTRO, CA
92243-6304

Practice Phone: 760-352-3000
Practice Fax: 760-352-1985

1629142708 — MARSHALL EL DORADO ENDSCOPY CENTER
Practice Location Address:

1100 MARSHALL WAY , ATTN KAREN D BILLING
PLACERVILLE, CA
95667-6533

Practice Phone: 530-626-2789
Practice Fax: 530-626-2833

1548583651 — PENINSULA ENDOSCOPY CENTER LLC
Practice Location Address:

1720 EL CAMINO REAL , SUITE 100
BURLINGAME, CA
94010-3224

Practice Phone: 650-373-1970
Practice Fax:

1013172840 — THE OREGON CLINIC PC
Practice Location Address:

9701 SW BARNES RD , SUITE 310
PORTLAND, OR
97225-6772

Practice Phone: 503-297-8081
Practice Fax: 503-292-6601

1417957796 — ENDOSCOPY CENTER OF MONROE
Practice Location Address:

316 S 6TH ST
MONROE, LA
71201-7568

Practice Phone: 318-327-3107
Practice Fax: 318-327-3110

Directions to “EL PASO CENTER FOR GASTROINTESTINAL ENDOSCOPY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.